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Last night I was diagnosed with a BCC on the right hand side of my nose (about 4mm long 2mm wide and about a centimetre from the edge of my nostril). The dermatologist made the assessment following a visual examination with a magnifying glass (of sorts) and then proceeded to propose options for removal. At this point I was a bit shocked at the diagnosis (obviously) but also surprised at the speed at which the various removal options were being discussed. I can’t remember all the options but I do remember him mentioning a possible skin graft and a flap (?) but recommended another option….. I think an excision (?) which would involve removing a 1 cm portion of my nose! I was a bit shocked by that. I understand they have to remove an extra bit to ensure it’s completely removed but I can’t quite understand how exactly this procedure works on a nose and the resulting appearance? I’ve seen some evidence on other parts of the body whereby the skin is pulled together leaving a line scar, but on a nose I would think it would end up distorting the nose – which I think the doc did mention, and therefore he suggested some other technique. So therefore not quite sure how it would be removed? Does anyone know what they do? Do they cut a slice off at a certain depth and then let it heal somehow? For info, following the discussion I did bring up that I thought a biopsy was usually the first step to actually prove it first, before having an unnecessary bigger procedure. He agreed that this would be a sensible option (although I assume he was quite sure that it was BCC from the visual) and we have decided to go down this route first. Not sure if that is the right thing to do? I think he wanted to go straight to the full removal to save having to go through it all twice….I can see that thinking. But obviously the prospect of being slighty disfigured is leaning me towards the biopsy first. If anyone has any advice or info on this it would be greatly appreciated. Feel like it all went a bit fast and should’ve asked more questions at the time.
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